Predictors of Breastfeeding Success in Postpartum Period: Delivery Type, Postpartum Support, and Postpartum Depression

Abstract

Objective: This study aimed to investigate the association between delivery type, postpartum support need and postpartum depression on breastfeeding success in the first postpartum month. Methods: This study, conducted between August 8, 2022 and August 31, 2023, was comparative, prospective and cross-sectional. Sample consisted of 300 women (150 vaginal, 150 cesarean section). Data were collected using Descriptive Information Form, Postpartum Support Questionnaire, Edinburgh Postpartum Depression Scale, and Bristol Breastfeeding Assessment Tool. Multiple linear regression was used to identify the predictors of breastfeeding success. Results: Those who did not received sufficient support rate was 50.7%, the presence of postpartum depression was 54.0%, and the mean breastfeeding success score was 6.4±0.9 which was moderate. Cesarean delivery (β=-0.149, p<.01), increased need for postpartum support (β=-0.203, p<.01) and postpartum depression (β=0.261, p<.01) were significant predictors which were explaining 21.0% of total variance in breastfeeding success. The breastfeeding success of cesarean section mothers who did not have postpartum depression but received inadequate support decreased by 20.3% compared to vaginal birth mothers. Mothers who gave birth by caesarean section, did not receive postpartum support and were at risk of postpartum depression had the lowest breastfeeding success. Conclusion: Cesarean section, postpartum support, and postpartum depression are factors that significantly affect breastfeeding success. Therefore, breastfeeding counselling services for mothers in the postpartum care process should be planned and implemented individually to address mode of delivery, need for postpartum support and postpartum depression.

Keywords

• Birth type
• depression
• lactation
• postpartum
• support

Postpartum Dönemde Emzi̇rme Başarısının Beli̇rleyi̇ci̇leri̇: Doğum Şekli, Postpartum Destek ve Postpartum Depresyon

Abstract

Amaç: Bu çalışmanın amacı doğum sonrası birinci ayda doğum şekli, doğum sonrası destek ihtiyacı ve doğum sonrası depresyonun doğum sonrası emzirme başarısı üzerine etkisini araştırmaktır. Yöntemler: 8 Ağustos 2022 ve 31 Ağustos 2023 tarihleri arasında yürütülen bu çalışma karşılaştırmalı, prospektif ve kesitseldir. Örneklem 300 kadından (150 vajinal, 150 sezaryen) oluşmaktadır. Veriler Tanımlayıcı Bilgi Formu, Doğum Sonrası Destek Anketi, Edinburgh Doğum Sonrası Depresyon Ölçeği ve Bristol Emzirme Değerlendirme Aracı kullanılarak toplanmıştır. Emzirme başarısının belirleyicilerini tanımlamak için çoklu doğrusal regresyon kullanılmıştır. Bulgular: Yeterli destek almayanların oranı %50.7, postpartum depresyon varlığı %54.0 ve ortalama emzirme başarı puanı 6.4±0.9 olup orta düzeydedir. Sezaryen doğum (β=-0.149, p<.01), doğum sonrası destek ihtiyacının artması (β=-0.203, p<.01) ve doğum sonrası depresyon (β=0.261, p<.01) emzirme başarısındaki toplam varyansın %21.0'ini açıklayan anlamlı yordayıcılardır. Doğum sonrası depresyonu olmayan ancak yetersiz destek alan sezaryen annelerinin emzirme başarısı, vajinal doğum yapan annelere kıyasla %20.3 oranında azalmıştır. Sezaryenle doğum yapan, doğum sonrası destek almayan ve doğum sonrası depresyon riski taşıyan anneler en düşük emzirme başarısına sahip olmuştur. Sonuç: Sezaryenle doğum, doğum sonrası destek ve doğum sonrası depresyon emzirme başarısını önemli ölçüde etkileyen faktörlerdir. Bu nedenle doğum sonrası bakım sürecinde annelere yönelik emzirme danışmanlığı hizmetleri, doğum şekli, doğum sonrası destek ihtiyacı ve doğum sonrası depresyonu ele alacak şekilde bireysel olarak planlanmalı ve uygulanmalıdır.

Keywords

• Doğum şekli
• Depresyon
• Laktasyon
• Doğum sonrası
• Destek

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